| Fdg Mobile | |
|
438 S Emerson Ave Ste 231 Greenwood IN 46143-1948 | |
| (317) 300-7403 | |
| (317) 851-9085 |
| Full Name | Fdg Mobile |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 438 S Emerson Ave Ste 231, Greenwood, Indiana |
| Authorized Official Name and Position | Garrett Fiorenza (CEO) |
| Authorized Official Contact | 3173007403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fdg Mobile 438 S Emerson Ave Ste 231 Greenwood IN 46143-1948 Ph: (317) 300-7403 | Fdg Mobile 438 S Emerson Ave Ste 231 Greenwood IN 46143-1948 Ph: (317) 300-7403 |
| NPI Number | 1568073096 |
|---|---|
| Provider Enumeration Date | 08/10/2020 |
| Last Update Date | 08/10/2020 |
| Certification Date | 08/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568073096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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